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In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.
Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well

Opinions of medical employees about russian vocational training in medicine and possible innovations to be brought in it

Saturday, 03 December 2011

Shubina L.B.1, Son Yi.M.21I.M. Sechenov First Moscow State Medical University2Federal Research Institute for Health Organization and
Informatics of Ministry of Health and Social Development of the Russian
Federation, Moscow

Summary. A new concept of the state system of
vocational training in Russian public health is being under way now, and
it implies introduction of modern methods and novel organizational
forms of education that correspond to world trends. One of such new
approaches in medical education is namely the imitative training
through which a student deliberately accomplishes such actions and in
such conditions that model upon real situations. Special means of
training are involved here.

Imitative training favors the improved quality of education because
here the professional actions are to be fulfilled in repeated sequence
up to acquiring of confidence in oneself aimed at exclusion of routine
mistakes.

Opinion poll of medical staff was staged to create certain
prerequisites for this innovation aimed at improving the quality of
training of medical staff (through introduction of imitative training).
The general purpose of this poll was to obtain individual subjective
evaluations of present system of vocational training in public health
and opinions on ways of its reforming.

This trial was conducted by launching a questionnaire to various
kinds of medical personnel, including nurses and physicians of different
specialties -embracing medical establishments of the town of Moscow,
Moscow Region and several other Regions. This questionnaire was divided
into three contexts. The first context was concerned with social and
occupational features of the responders themselves; in the second
context, the responders were to express their opinions on present system
of vocational training in public health and their attitudes to their
professional duties; in the third context the opinions of medical
employees for changes and amendments to the system of their training and
also of its record-keeping were taken in.

A survey into all these opinions showed that the majority of the
responders did not produce a clear notion of the purposes of each step
on the life long way of his/her vocational training. Most responders
agreed on the fact that in the course of education of medical staff in
the Russian Federation the problems of providing safe medical care had
not been elucidated sufficiently.

Among the ways of solving the aforementioned defect implying some
measures to reduce incidence of insufficient medical care, the argument
of the working team of the establishment upon any occurrence of that
sort was noted as the preferable choice by most responders.

Our foreign colleagues considered intra-team arguments as the most
efficient way - also under conditions of deliberate imitation of
professional activity, where imitators learn upon mistakes accomplished
here and profit from it. Not all the responders were satisfied with own
level of professional skills. When answering questions on the prospects
of imitative training in the Russian Federation, most responders
claimed that such a training should become compulsory course for
certifying Russian physicians.

The analysis of the answers obtained here has enabled us to rate
factors of high-grade medical grounding. Preferable forms and
organizational frames of imitative training were summed up with special
attention to their adjustment to the conditions of Russian public
health.